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Event Submission Form

Foundation Medicine Incorporated

Form Submission Date

8/14/22, 4:00 AM

Requested Event Date

Any Wednesday from September 26 onward, per the 6 week notice policy

Administrative only Feedback

What fun! 1000 donation

Obtained All Approvals?

Do You Need Insurance Rider?

Pets & People Photo Policy

Read Event Planning Guide?

Corporate

y

Booked P&P in last 2years?

No

How'd you learn about P&P?

Name of School, College or Corporation

Foundation Medicine Incorporated

Street/Building

150 Second Street

City or Town

Cambridge

Website

Requested Date of Event

Any Wednesday from September 26 onward, per the 6 week notice policy

What time is your event?

Wednesdays at 2:00pm-3:30pm

Why do you wish for Pet Therapy at your Event?

For Employee wellbeing

Location(s) on premises reserved in advance?

Yes Outdoor

Event space indoors or outdoors?

Please provide a description the reserved location of event.

We can rent a tent for the space right outside of our building, we just need to know what the size of the tent should be.

Please describe Alternate Location if any

The rented tent, as a Genomics company we can't risk contamination and there is protected patient information inside the building premises.

What is the expected attendance?

Dogs/Cats or both?

Dogs Only

Minimum # teams requested

3

Maximum # teams requested

10

Have you considered how to promote this event?

Link or Map of your Campus

Parking Arrangements

There is parking on the side of our building, 150 Second Street, Cambridge MA, 02141.

Will other Pet Organizations be present?

No

Outline any protocols needed for volunteers to come to your facility.

Masks required, social distancing is preferred when possible.

Additional Details/Comments/Questions

How many dogs will be there? Was unsure of the min and max so just put a number.

Contact Information

Day of Event Contact Info

Name

Nhan Ly, Supervisor, Molecular Laboratory, 857-205-2288

Cell Phone

Email

JobTitle

Alternate Day of Event Contact Info

Name

Email

Cell Phone

JobTitle

Event Requester Contact Info

Name

Nhan (Jimmy) Ly

Phone

857-205-2288

JobTitle

Supervisor, Molecular Laboratory

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